Department of Anesthesia and Intensive Care

Tetsufumi Sato, Yoko Kinoshita, Minako Arai, Junya Matsumi, Nobuko Yokokawa, Seiji Shiraishi, Rie Suzuki, Mari Shibata, Yosuke Kawaguchi, Maria Ikegami, Ryota Tsukui, Miyako Nagaya, Kanae Tsutsumi, Kwangup Park, Misako Matsuoka, Natsumi Morita, Chiaki Inano, Liu Dan

Introduction

Table 1. Case for anesthetic management (2016)

The Department of Anesthesia and Intensive Care provides anesthesia and intensive care. Anesthetic services are provided for 15 main operating rooms and sessions in endoscopy. There are approximately 4,000 operations per year. The Intensive Care Unit has eight beds and provides care for all specialties including general medical and general surgical cases. There are over 700 admissions annually and the ICU is also responsible for resuscitation services within the hospital.

Our team and what we do

The Department of Anesthesia and Intensive Care at the National Cancer Center Hospital (NCCH) is comprised of seven staff anesthetists who are involved in critical care, education, and research. Our department provides perioperative care to all patients who require general anesthesia and spinal analgesia. Our operatiing rooms perform approximately 4,500 surgical procedures per year, which include neurosurgical, orthopedic, plastics, ophthalmologic, gynecologic, urologic, and general surgery (Tables 1, 2). We also provide care to patients undergoing procedures in locations outside the main operating room such as sessions in endoscopy. In addition, many patients are seen in the Anesthesia Consult Clinic, which runs every weekday. Many staff also have other clinical appointments including attending the ICU (the eight-bed Medical/Surgical Unit) and providing acute pain management. Some members of our department are actively involved in research at clinical levels and supervise post doctorate, doctorate, postgraduate, and undergraduate students.

Our ICU is certificated by the Japanese Society of Intensive Care Medicine. It provides care for all specialties including general medical, general surgical, and neurosurgical cases. It is managed as a closed-system, supported by two certified intensivists and a trainee. There are eight operational ICU beds and over 750 admissions annually (Table 3). The ICU is also responsible for resuscitation services within the hospital.

Clinical trials

One of the members is part of the faculty of clinical trial group in the Japanese Society of Intensive Care Medicine. To understand the incidence and risk factors of severe adverse events in post-operative patients, epidemiological analysis was performed. To improve current care for perioperative patients, prospective studies are being conducted.

Table 2. Type of procedures (2016)

Table 3. Number of cases, Death in ICU and ICU mortality (2016)